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General NPI Number Information
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NPI Number | 1073687216
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Entity Type | Individual
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Provider Name | JAMES ALAN BANCROFT MD
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Gender | Male
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Dates
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Enumeration Date | 11/20/2006
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Last Update Date | 02/24/2020
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Provider Practice Location Address
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Address Line | 1601 WHITEHORSE MERCERVILLE RD STE 5
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City | HAMILTON
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State | NJ
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Zip | 08619-3836
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Country | US
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Telephone | 609-631-3122
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Fax | 609-666-0530
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Provider Business Mailing Address
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Address Line | 210 YORKTOWN PLZ
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City | ELKINS PARK
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State | PA
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Zip | 19027-1424
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Country | US
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Telephone | 215-600-4590
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MA69799
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License Number State | NJ
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